Scaling and Root Planing

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Our team of dentists and staff strive to improve the overall health of our patients by focusing on preventing, diagnosing and treating conditions associated with your teeth and gums. Please use our dental library to learn more about dental problems and treatments available. If you have questions or need to schedule an appointment, contact us.

Scaling and Root Planing

We remove the plaque through a deep-cleaning method called scaling and root planing. Scaling means scraping off the tartar from above and below the gum line. Root planing gets rid of rough spots on the tooth root where the germs gather, and helps remove the bacteria that contribute to the disease.

Medications

Medications may be used with treatment that includes scaling and root planing, but they cannot always take the place of surgery. Depending upon the severity of gum disease, we may still suggest surgical treatment. Long-term studies will be needed to determine whether using medications will reduce the need for surgery and whether they will be effective over a long period of time. Here are some medications that are currently used:

Medication

What is it?

Why is it used?

How is it used?

Prescription antimicrobial mouthrinse

A prescription mouthrinse containing an antimicrobial agent called chlorhexidine

To control bacteria when treating gingivitis and after gum surgery

Used like a regular mouthwash

Antiseptic "chip"

A tiny piece of gelatin filled with the medicine chlorhexidine

To control bacteria and reduce the size of periodontal pockets

After root planing, it's placed in the pockets where the medicine is slowly released over time.

Antibiotic gel

A gel that contains the antibiotic doxycycline

To control bacteria and reduce the size of periodontal pockets

Placed in the pockets after scaling and root planing, the antibiotic is released slowly over a period of about seven days.

Antibiotic micro-spheres

Tiny, round particles that contain the antibiotic minocycline

To control bacteria and reduce the size of periodontal pockets

Micro-spheres placed into the pockets after scaling and root planing, the particles release minocycline slowly over time.

Enzyme suppressant

A low dose of the medication doxycycline that keeps destructive enzymes in check

To hold back the body's enzyme response -- If not controlled, certain enzymes can break down gum tissue

This medication is in pill form. It is used in combination with scaling and root planing.